Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $231.08 / $402.96	Facility		$123.75	$231.08	$402.96
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.39 / $7.39 / $7.53	Facility	26	$7.39	$7.39	$7.53
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.79 / $231.08 / $402.96	Facility	TC	$24.79	$231.08	$402.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $26.46 / $39.17	Professional		$14.80	$26.46	$39.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $7.48 / $15.12	Professional	26	$6.19	$7.48	$15.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.10 / $13.23 / $19.59	Professional	52	$12.10	$13.23	$19.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.00 / $19.91 / $30.02	Professional	TC	$18.00	$19.91	$30.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $138.00 / $138.00	Professional		$83.00	$138.00	$138.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.00 / $34.00 / $34.00	Professional	26	$20.00	$34.00	$34.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.00 / $104.00 / $104.00	Professional	TC	$63.00	$104.00	$104.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $39.29 / $76.52	Professional		$26.95	$39.29	$76.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $12.11 / $22.21	Professional	26	$8.48	$12.11	$22.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.39 / $26.87 / $52.28	Professional	TC	$18.39	$26.87	$52.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $56.41 / $92.40	Professional		$28.54	$56.41	$92.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $15.21 / $26.39	Professional	26	$8.15	$15.21	$26.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $41.20 / $66.01	Professional	TC	$21.05	$41.20	$66.01